Deborah Anne Matzan

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

500357 Issued in NY

Practice address

2087 Leno Rd
Palmyra, NY 14522-9520

Phone

(315) 502-4087

NPI assigned

Mar 19, 2012

Last updated

Mar 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1336414713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 LENO RD",
            "city": "PALMYRA",
            "state": "NY",
            "postal_code": "145229520",
            "telephone_number": "315-502-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 LENO RD",
            "city": "PALMYRA",
            "state": "NY",
            "postal_code": "145229520",
            "telephone_number": "315-502-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZAN",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "500357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kubasiewicz
• Carl David Levy, DMD
• Anna Maria Majek
• Amanda Marcigliano, LMSW
• John Michael Masterson Jr., DMD
• Janet Lynn McIntyre I, LPN
• Kaitlyn Mierzwa
• Heather Lorraine Miller, PHARMD
• Crystal Lynn Millerd
• Lisa Moon, REGISTERED NURSE

• School Registered Nurse in Palmyra, NY
• Providers in Palmyra, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.